YN3-13825-54435
3 vaccinations
4 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 378 / TN
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CRN-24488-04938
Child or adolescent in my care · Female · 2022-05-06
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-16
Dose 2 — Moderna
-
2021-04-19
Registered in v-safe
- 2021-04-19
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 21, dose 2MedDRA: Pyrexia, Sinusitis — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very bad sinus infection, mild feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Survey response — day 42, dose 2MedDRA: Menstrual disorder, Sinus disorder — Feeling: GoodFree text: Menstrual cycle has been abnormal Sinus, but that can be due to high pollen in my areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-12-29
Dose 3 — Moderna
-
2022-04-18
Survey response — 12 months, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: My period is not fully back on track...MedDRA releases: 2024-11 · check-in free text available
-
2023-01-01
Survey response — 12 months, dose 3MedDRA: Chills, Cough, Fatigue, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-01
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-12-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-01 | Unsuccessful |
Free text
Release 8 — day 21, dose 2
Symptoms: Very bad sinus infection, mild fever
Release 8 — day 42, dose 2
Symptoms: Menstrual cycle has been abnormal Sinus, but that can be due to high pollen in my area
Release 11 — 12 months, dose 2
Symptoms: My period is not fully back on track...
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release